NPI | 1609113539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2012010818) |
Additional Taxonomies | 374J00000X Doula |
405300000X Prevention Professional (Licence: MO 2012010818) | |
Enumeration Date | 2013-01-11 |
Last Update Date | 2019-02-12 |